This work is on quantum-mechanical four-body distorted wave theories for double electron capture in collisions between fast heavy multiply charged ions and heliumlike atomic systems. The five widely used distorted wave methods of the first- and second-order in the perturbation series expansions are compared with the available experimental data on alpha –He collisions. These are the four-body boundary-corrected first Born (CB1-4B), the boundary-corrected continuum intermediate state (BCIS-4B), the Born distorted wave (BDW-4B), the continuum distorted wave (CDW-4B) and the continuum distorted wave-eikonal initial state (CDW-EIS-4B) methods.We address the complete breakdown of the CDW-EIS-4B method at all impact energies within its expected validity domain (100–10000 keV). Further, the relative performance is evaluated of the second-order theories with and without the eikonalization of the two-electron Coulomb wavefunctions for double continuum intermediate states. Finally, at all the considered intermediate and high energies, the practical aspects of the studied five methods are investigated by protracted evaluations of the convergence rates of total cross sections as a function of the number of quadrature points per axis in numerical computations of multi-dimensional (3D-5D) integrals.